Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: sex | life | diabetes | erectile | dysfunction | blood | sugar

Can I Get My Sex Life Back?

Wednesday, 19 Sep 2012 09:27 AM

Question: I am a man in 50s who was recently diagnosed with diabetes. I am working to get this under control, but I’m also having problems with erectile dysfunction. If I get my blood sugar under control will my sexual function return?

Dr. Hibberd's answer:
For men, diabetes can cause damage to the nervous system over a sustained period of time, also known as diabetic neuropathy.
Diabetic peripheral neuropathy in arms and feet usually does not reverse, but central neuropathic changes often will clear with suitable diabetic management. One aspect of this is the potential for diabetes to damage the erectile tissue, leaving it difficult for a man to achieve or maintain an erection. The causes are extremely complex, and they are based around changes that occur to the body over time affecting nerve, muscle, and blood vessel functions. About a third of men with diabetes can suffer from erectile dysfunction (ED). However, through strict management of the disease through diet, exercise, pills and insulin injections (if needed), ED and other sexual problems often recede and it is possible for the man to once again achieve erection.
Stop smoking, if you do smoke. Have your lipids managed to keep your LDL under 100 and aim at 85.
Have your doctor evaluate you for vascular, cardiac, and local causes for erectile dysfuncion, as vascular disease "down there" may also be your yellow flag for vascular disease within your coronary vessels. So be sure to have an EKG reviewed, and then request an agent for correction of "ED" such as Viagra or other (Levitra, Cialis, etc.) as long as you are cleared for its use. There's a good chance you'll be able to return to your usual sexual function while working on improving your diabetes


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Your sex life may return after you get your diabetes and blood sugar under control.
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